Individual provider Active NPI

Theophilus Ahiable-Addo, RBT

  • Behavior Technician
  • Fredericksburg, VA
National Provider Identifier
1245035955
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
904 Princess Anne St Ste 204
Fredericksburg, VA 22401-5801
Phone
(703) 229-4216
NPI assigned
Feb 17, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

904 Princess Anne St Ste 204
Fredericksburg, VA 22401-5801

Mailing address

904 Princess Anne St Ste 204
Fredericksburg, VA 22401-5801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance ABA, LLC Behavior Technician CurrentSince Feb 23, 2025 Accepting new patients
Hope Therapy and Wellness Center, LLC CurrentSince Feb 23, 2025 Accepting new patients

Locations

904 Princess Anne St
Ste 204
Fredericksburg, VA 22401
Phone (703) 229-4216

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1245035955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 PRINCESS ANNE ST STE 204",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224015801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 PRINCESS ANNE ST STE 204",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224015801",
            "telephone_number": "703-229-4216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHIABLE-ADDO",
        "first_name": "THEOPHILUS",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.